Comparison of Endoscopic Papillary Balloon Dilatation and Sphincterotomy for CBD Stones With Difficult Sphincterotomy or Distal CBD Tapering

National Taiwan University Hospital1 site in 1 countryMarch 2006

ConditionsCholedocholithiasis

Overview

Phase: Not Applicable
Intervention: Not specified
Conditions: Choledocholithiasis
Sponsor: National Taiwan University Hospital
Locations: 1
Last Updated: 19 years ago

Overview Investigators Eligibility Criteria Outcomes Sites Similar Trials

Overview

Brief Summary

Compare endoscopic papillary balloon dilatation vs. endoscopic sphincterotomy for bile duct stones in:

when sphincterotomy is difficult (periampullary diverticulum, prior sphincterotomy or Billroth II anastomosis)
when there is distal CBD tapering.

Detailed Description

Endoscopic papillary balloon dilatation is an alternative to endoscopic sphincterotomy for treating bile duct stones: * easier and as effective. But... * a higher risk of pancreatitis. Conditions including periampullary diverticulum, prior EST, Billroth-II anastomosis, or distal CBD tapering pose difficulty in EST and lithotripsy with increased risk of complications. Whether EPBD or EST is superior in efficacy or safety under such circumstances is not clear.

Registry

clinicaltrials.gov

Start Date

March 2006

End Date

May 2006

Last Updated

19 years ago

Study Type

Observational

Sex

All

Investigators

Sponsor

National Taiwan University Hospital

Eligibility Criteria

Inclusion Criteria

•Choledocholithiasis with
•Difficult sphincterotomy:periampullary diverticulum, prior sphincterotomy or Billroth II anastomosis
•or distal CBD tapering.